| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.10 | $425.84 | $425.84 | |
Medica
| Facility | $337.79 | $550.96 | $1,005.11 | |
Midlands
| Facility | $566.76 | $874.11 | $2,197.38 | |
Sanford Health Plan
| Professional | $386.80 | $554.03 | $831.91 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |